The Effect of a Psychosocial Adjustment Program on Healthy Lifestyle Behaviors and Sleep Deprivation in Ninth-Grade Boarding Female Students

NCT07244224 | Completed

• 1 other identifier: TBAEK-714
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The World Health Organization defines adolescence as the ages between 10 and 19, emphasizing that supporting both the mental and physical health of this age group is crucial for determining the individual's future quality of life. Problems such as stress, anxiety, depression, maladjustment, substance use, and sleep disorders faced by adolescents can negatively affect the development of healthy lifestyle behaviors. In this context, students living in boarding school settings represent a more vulnerable group in terms of the need for psychosocial support, as they live away from their families. Boarding students experience difficulties in adaptation due to homesickness, lack of social support, academic pressures, and a strictly regulated lifestyle, and this situation directly affects their health behaviors. In this study, the effectiveness of a psychosocial adjustment program will be evaluated with intervention and control groups formed on a voluntary basis from ninth-grade female boarding students studying at two public boarding science high schools located in Antalya, Türkiye. The intervention group will participate in a psychosocial adjustment program developed by the researcher, consisting of five sessions, while the control group will not receive any intervention. The program includes structured and interactive group activities on themes such as adopting healthy lifestyle habits, stress and anxiety management, social support, sleep hygiene, effective communication, academic adjustment, and emotional relaxation. The data will be collected in three phases as pre-test, post-test, and follow-up test; the data collection tools will include the Personal Information Form, the Health-Promoting Lifestyle Profile II (HPLP II), and the Sleep Deprivation Scale for Children and Adolescents. The data will be analyzed using the SPSS program, and depending on normal distribution, parametric or non-parametric tests will be applied. The effect of the intervention will be measured with Cohen's d to calculate the effect size. This study holds original value as it develops a school-based intervention model under the leadership of a school health nurse, and it may provide an innovative contribution based on a holistic nursing approach to adolescents by taking its place among the limited psychosocial intervention studies conducted in boarding school settings.

Conditions

Healthy Lifestyle; Sleep Deprivation; Psychosocial Adjustment

Keywords

Healthy lifestyle study; Boarding high school education; Sleep deprivation

Outcome Measures

Primary Outcomes (1)

• Healthy Lifestyle Behaviors Scale II

  Healthy Lifestyle Behaviors Scale II: The Healthy Lifestyle Behaviors Scale II is used to evaluate individuals' healthy lifestyle behaviors. The scale consists of a total of 52 items and includes six subscales: spiritual growth, health responsibility, physical activity, nutrition, interpersonal relations, and stress management. The overall score of the scale indicates the level of healthy lifestyle behaviors. As the total score increases, it is interpreted that the individual has more healthy lifestyle behaviors.

  Baseline, 4 weeks after baseline, 17 weeks after baseline

Secondary Outcomes (1)

• Sleep Deprivation Scale for Children and Adolescents

  Time Frame: Baseline, 4 weeks after baseline, 17 weeks after baseline

Study Arms (2)

Psychosocial Adaptation Program

EXPERIMENTAL

In the study, while the intervention group will participate in a five-day psychosocial adjustment program, no intervention will be conducted in the control group.

Behavioral: Implementation of the Psychosocial Adaptation Program

Control group

NO INTERVENTION

No intervention will be administered to the control group.

Interventions

Implementation of the Psychosocial Adaptation Program BEHAVIORAL

It is a five-day psychosocial adjustment program designed for female boarding high school students. It focuses on promoting healthy lifestyle and improving sleep comfort. The program includes group education sessions and activity-based interventions tailored to this age group.

Psychosocial Adaptation Program

Eligibility Criteria

• Age: 13 Years - 14 Years
• Gender Eligibility Details: The primary reason for including only female students in the study is to ensure access to the sample group and to maintain the homogeneity of the sample. At the school where the study will be conducted, the girls' dormitory is located very close to the school building, allowing some sessions of the psychosocial adjustment program to be conducted regularly and uninterruptedly after school or in the evening. In contrast, the boys' dormitory is situated at a considerable distance from the school, which would create significant limitations in terms of transportation, safety, and time management for ensuring regular participation. Additionally, due to gender-specific psychosocial developmental differences during adolescence, selecting a homogeneous sample will facilitate the adaptation of the intervention program content and allow its effectiveness to be evaluated in a more controlled manner.
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

Sponsors & Collaborators

• Akdeniz University: lead

Study Sites (1)

Akdeniz Üniversitesi

Antalya, Turkey (Türkiye)

Location

Related Links

• Related Info
• Relevant publications on the study topic from PubMed

MeSH Terms

Conditions

Sleep Deprivation

Condition Hierarchy (Ancestors)

Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Officials

• Habibe ARSLAN

  Bağlantısız

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: School Health Nurse, MSc Student in Public Health Nursing

Model Details: Non-randomized controlled intervention study with a pre-test, post-test design.

Study Record Dates

• First Submitted: September 5, 2025
• First Posted: November 24, 2025
• Study Start: September 12, 2025
• Primary Completion: October 10, 2025
• Study Completion: October 10, 2025
• Last Updated: March 4, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)